Question

A 30-year-old pregnant woman at 36 weeks gestation presents with severe itching on the palms and soles, especially at night, with no rash. Blood tests show elevated bile acids. What is the most likely diagnosis?

Accepted Answer

Cholestasis of pregnancy (Obstetric cholestasis)

Answer

Pre-eclampsia

Answer

Pemphigoid gestationis

Answer

Intrahepatic cholangiocarcinoma

Answer

Acute fatty liver of pregnancy

Practice question

A 30-year-old pregnant woman at 36 weeks gestation presents with severe itching on the palms and soles, especially at night, with no rash. Blood tests show elevated bile acids. What is the most likely diagnosis?